| NPI | 1649080904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GRIFFIN Administrator 773-232-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-04-28 |