| 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 |