NPI | 1891296802 |
---|---|
Entity Type | Organization |
Authorized Contact | LATECHIA HESTER Owner 312-263-1131 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A-2779-0001-A) |
Enumeration Date | 2018-02-25 |
Last Update Date | 2018-02-25 |