| NPI | 1396442299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE WALKER Director 312-489-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |