NPI | 1831678192 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY DESMOND Director Of Finance 773-761-1501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: ID A-0998-0013-A) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2018-08-08 |