NPI | 1699296129 |
---|---|
Other Name | LOREN "HALF" ROBINSON FOUNDATION |
Entity Type | Organization |
Authorized Contact | PATRICIA J SEARCY CEO/Director Of Board Of Directors 773-521-1601 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: IL A85450001A) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A85450001A) | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2017-07-06 |
Last Update Date | 2022-07-21 |