| NPI | 1386813343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA C PUJALS Assistent Director 847-695-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: IL A-0969-0001-A) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2021-09-09 |