| NPI | 1134668833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D DANIELS Founder/Executive Director 708-299-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |