| NPI | 1548312788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMY SUE REINIER Director Of Otp Operations 708-499-6320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A80120001A) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-03-07 |