| NPI | 1801141940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA D MURPHY CEO 312-730-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 805) |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2022-04-26 |