| NPI | 1821535618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAVY MUNROE Regional Vice Presedient 312-568-7051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-4241-0007-A) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |