| NPI | 1700246139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN KEIFER President 630-940-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: IL A-6255-0001-A) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2024-03-25 |