NPI | 1417580101 |
---|---|
Other Name | HEARTLAND ALLIANCE HEALTH - EW SUPR |
Entity Type | Organization |
Authorized Contact | JIMMY VALENTIN Director, Revenue Cycle Management 773-751-4129 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-02-20 |
Last Update Date | 2022-05-12 |