| NPI | 1982212205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ASSAM VP Of Opeations 708-567-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |