| NPI | 1659527208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN KAMINSKI Manager, General Accounting 708-338-3806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2016-07-27 |