| NPI | 1689339590 |
|---|---|
| Doing Business As | CTF ACCESS-SUPR |
| Entity Type | Organization |
| Authorized Contact | KELLI L CODY Executive Assistant 708-429-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2022-01-12 |