| 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 |