| NPI | 1447917034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA ADAMS Clinical Director 224-699-0589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2021-11-18 |