| NPI | 1487350815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROBINSON President 708-856-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-10-07 |