NPI | 1093054983 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEFINA P CACAL Administrator 773-294-8221 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 5902-579-1) |
Enumeration Date | 2013-02-12 |
Last Update Date | 2013-02-12 |