| NPI | 1679914584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN M RYBA Business Manager 312-543-4792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |