| 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 |