| NPI | 1437425451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA DIANA LEWIS C.E.O 773-710-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL 343900000X) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |