| 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 |