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 |