| NPI | 1053783522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DRAGOS BUTUCEA BOSCOIANU Executive Director 312-646-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 201500001C) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IL 201500001C) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |