| NPI | 1609746486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADA WASHINGTON RN 773-606-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |