| NPI | 1689371312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE WALKER Director 312-489-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |