| NPI | 1851766430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL K. JOHNSON President And CEO 312-441-9009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A-0180-0019-A) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |