NPI | 1619303666 |
---|---|
Entity Type | Organization |
Authorized Contact | BIPIN SHARMA Director/Founder 708-250-0520 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
276400000X Rehabilitation, Substance Use Disorder Unit | |
Enumeration Date | 2013-09-23 |
Last Update Date | 2022-08-04 |