| NPI | 1881308021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY WILLIAMS Administrator 630-201-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-28 |