| NPI | 1750973392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEECH CEO 708-267-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |