| NPI | 1427592013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. DORIS REYNOLDS President And CEO 312-808-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: IL A-0584-0002-A) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |