| NPI | 1598093999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT BRETT Director 773-396-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2016-09-08 |