NPI | 1144670308 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE ANN CHEREP-CARR Executive Director 708-448-7848 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180.009962) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2016-06-20 |