NPI | 1790595189 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY GRIFFIN Administrator 312-730-4355 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2025-01-08 |
Last Update Date | 2025-01-08 |