| NPI | 1992070031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVINA STEGALL Owner 708-263-9512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 251S00000X (Licence: IL A58520002A) | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2017-04-05 |