| NPI | 1124447412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BARTHWELL President 708-613-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-4410-0002-A) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |