NPI | 1427271568 |
---|---|
Entity Type | Organization |
Authorized Contact | EDDY BORRAYO President/CEO 773-564-9070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2007-04-10 |
Last Update Date | 2018-11-01 |