NPI | 1659816874 |
---|---|
Doing Business As | GREAT HEIGHTS OTP, CALUMET CITY |
Other Name | GREAT HEIGHTS FAMILY MEDICINE NTP |
Entity Type | Organization |
Authorized Contact | ADEYEMI FATOKI Owner 312-952-9378 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: IL A79840001A) |
Enumeration Date | 2016-12-23 |
Last Update Date | 2018-11-16 |