| NPI | 1992973689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA MORENO VP Finance & Administration 312-808-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 251S00000X (Licence: IL A-0584-0001A) | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2018-08-17 |