NPI | 1952832727 |
---|---|
Entity Type | Organization |
Authorized Contact | MERRILL D. POWERS Executive Director 312-667-2266 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2017-03-23 |
Last Update Date | 2020-03-05 |