| NPI | 1386322501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NEWTON Operations 224-326-0226 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |