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 |