| NPI | 1386001311 |
|---|---|
| Doing Business As | LSSI ACA ADD ELGIN |
| Entity Type | Organization |
| Authorized Contact | GREERANN LOVETTE HAMBLET Business Manager 847-390-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A02860014-A) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A02860015-A) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2019-01-23 |