| NPI | 1700656931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARON FRIEDMAN Director Of Business Development 847-220-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-11-18 |