| 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 |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-02-12 |