NPI | 1619134111 |
---|---|
Other Name | HEARTLAND HEALTH OUTREACH PATHWAY |
Former Legal Business Name | HEARTLAND HEALTH OUTREACH |
Entity Type | Organization |
Authorized Contact | JIMMY VALENTIN Director, Revenue Cycle Management 773-751-4129 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL 077560001) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2020-11-17 |