| NPI | 1679212187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE T WALKER Administrator 312-489-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261Q00000X Clinic/Center | |
| 208D00000X General Practice | |
| 261QC1500X Clinic/Center Community Health | |
| 261QM2800X Clinic/Center Methadone | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-03 |