| NPI | 1992218770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR DICKSON President And CEO 312-922-4767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: IL A-0592-0001-A) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0592-0001-A) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |