| NPI | 1932663762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWIN DENISE GREEN President & CEO 708-331-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |