| NPI | 1689150161 |
|---|---|
| Other Name | ANIXTER CENTER AT PARKSHORE |
| Entity Type | Organization |
| Authorized Contact | MARY DESMOND Director Of Finance 773-761-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |