NPI | 1497213110 |
---|---|
Entity Type | Organization |
Authorized Contact | PAT BRETT Owner 708-529-0188 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2019-03-12 |
Last Update Date | 2019-03-26 |