NPI | 1740975200 |
---|---|
Entity Type | Organization |
Authorized Contact | BIKRAM SHARMA President 312-554-5431 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2023-04-10 |
Last Update Date | 2023-09-06 |