NPI | 1376680512 |
---|---|
Other Name | CARITAS CENTRAL INTAKE |
Entity Type | Organization |
Authorized Contact | JESSECA WATSON Credentialing Manager 630-572-8228 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2007-01-30 |
Last Update Date | 2021-02-12 |