| NPI | 1376362715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN R KELLEY Substance Abuse Coordinator 773-818-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |