| NPI | 1558988246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE VAYSBERG Authorized Representative 847-345-5541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2025-05-20 |