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 |