| NPI | 1851586614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PRICE Director 847-493-3608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A02480011A) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2017-03-27 |