| NPI | 1891286266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMEEN STURDIVANT CEO 708-663-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: IL A74870002A) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |