NPI | 1740897149 |
---|---|
Entity Type | Organization |
Authorized Contact | TOM HARTMANN VP Business/It 773-252-8945 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-09-29 |
Last Update Date | 2021-03-04 |