NPI | 1871626713 |
---|---|
Entity Type | Organization |
Authorized Contact | OLUFOLAKE OLADEINDE President/CEO 773-487-4310 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2007-03-13 |
Last Update Date | 2021-03-23 |