| 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 Community/Behavioral Health | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-09-10 |