| NPI | 1932414000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JAMES CURTISS Controller 773-549-1102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A0127-0001-A) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |