| NPI | 1124524129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA HARRIS-FITZPATRICK President 888-780-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180.010443) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |