| NPI | 1881139418 |
|---|---|
| Other Name | GREAT HEIGHTS FAMILY MEDICINE, OTTAWA NTP |
| Doing Business As | GREAT HEIGHTS OTP OTTAWA |
| Entity Type | Organization |
| Authorized Contact | ADEYEMI FATOKI Owner 312-952-9378 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2019-12-19 |