| NPI | 1497272884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J GOLDEN Executive Director 773-737-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2022-07-21 |