| NPI | 1770704579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK VELASQUEZ Executive Director 773-777-7112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0534-0007-A) |
| Additional Taxonomies | 251S00000X (Licence: IL A-0534-0007-A) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2017-10-17 |