| NPI | 1114049483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASENATH L DIXON President CEO 312-842-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149002671) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2020-08-22 |