| NPI | 1689036519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ROCHELLE WHITE CEO 224-406-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2020-09-01 |