| NPI | 1003201492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL CONNELLY President 630-383-1109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180008814) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |