Organization
ASHUNTI RESIDENTIAL MANAGEMENT SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA DIANA LEWIS (C.E.O)
(773) 710-6830
Entity
Organization
Contact information
Practice address
4909 W HURON ST, CHICAGO, IL 60644-1334
(773) 379-6981
(773) 379-6983
Mailing address
4909 W HURON ST, CHICAGO, IL 60644-1334
(773) 379-6981
(773) 379-6983
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
343900000X
IL
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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