| NPI | 1790030344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFUNMILAYO KALE Program Director 773-684-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2016-10-26 |