| NPI | 1801314380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MCGHEE CFO 773-854-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2025-10-09 |