| NPI | 1811035546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J WILLIAMS Billing Specialist 773-723-2790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 261QM2800X Clinic/Center, Methadone Clinic (Licence: IL 72370002a) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2026-03-24 |