| NPI | 1497109284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN HOSTETLER Executive Director 773-940-2960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2024-01-31 |