| NPI | 1770460586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN NOTTAGE Executive Vice President 312-943-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |