| NPI | 1649486887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRILL D POWERS Executive Director 312-667-2266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-03-05 |