| NPI | 1649034232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA M HELTON Billing & Office Operations Manager 847-695-0484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |