NPI | 1457933897 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY EIMERMAN Chief Administrative Officer 630-291-0795 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
163WI0500X Registered Nurse, Infusion Therapy | |
2083A0300X Preventive Medicine, Addiction Medicine | |
Enumeration Date | 2021-04-26 |
Last Update Date | 2021-10-21 |