| NPI | 1477761344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DINAUER Director 773-571-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL 17459) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |