| 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 |