| NPI | 1639415318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN AARON President 224-470-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: IL A-6962-0001-A) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2015-12-21 |