NPI | 1609675271 |
---|---|
Entity Type | Organization |
Authorized Contact | ZACHARY J STAMP CEO/President 630-780-0262 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-03-07 |
Last Update Date | 2025-03-07 |