| NPI | 1962952499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SNELTEN Chief Operation Officer 847-546-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0614-0006) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2021-04-07 |