| NPI | 1801309752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR DICKSON President And CEO 312-922-4767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.002611) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180.002611) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |