| NPI | 1043763857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER Y MCNAIR President 224-688-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149018325) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |