| NPI | 1679691323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA TOVAR Coord Adm Svcs 847-742-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL A06090001A) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A06090001A) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-11-07 |