| NPI | 1972792281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J. DEW President/CEO 773-261-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2021-10-01 |