NPI | 1003063421 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH DAVIS President 312-491-0404 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-3920-0003-A) |
Enumeration Date | 2008-08-27 |
Last Update Date | 2008-08-27 |