| NPI | 1912584327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA SMITH President/ CEO 312-404-7184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251C00000X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2024-04-02 |