| NPI | 1518485960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BUONAURO Executive Director/Owner 847-869-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-8746-0001-A) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-08-15 |