| NPI | 1477158210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONESIA N ROUSE Executive Director 773-937-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 302R00000X Health Maintenance Organization | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |