NPI | 1437538014 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCO EDUARDO JACOME Chief Executive Officer 773-252-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2015-05-28 |
Last Update Date | 2023-02-21 |