NPI | 1932933496 |
---|---|
Entity Type | Organization |
Authorized Contact | JOVON C BURKES CEO 630-487-0813 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
1041C0700X Social Worker, Clinical | |
174200000X Meals | |
175T00000X Peer Specialist | |
251B00000X Case Management | |
251S00000X | |
276400000X Rehabilitation, Substance Use Disorder Unit | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2024-08-28 |
Last Update Date | 2024-09-10 |