NPI | 1679846919 |
---|---|
Former Legal Business Name | HARDIN HOUSE, INC. |
Entity Type | Organization |
Authorized Contact | KATHY HARDIN EARL Executive Director 773-550-1696 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X (Licence: IL C/A42070002A) |
Enumeration Date | 2012-02-16 |
Last Update Date | 2020-03-12 |