NPI | 1871985374 |
---|---|
Doing Business As | EVA MAE CLINIC |
Entity Type | Organization |
Authorized Contact | ADENIYI KUYE President 773-952-6861 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-5581-001-A) |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: IL A-5581-0001-A) |
Enumeration Date | 2015-02-21 |
Last Update Date | 2019-07-15 |