| 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 |