| 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 |