| NPI | 1528246865 |
|---|---|
| Doing Business As | HRDI TUBMAN |
| Entity Type | Organization |
| Authorized Contact | RENZY RICHARDSON Director Of Contract Administration 312-441-9009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2020-08-12 |