| NPI | 1154596013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN B ANDREWS Owner 630-355-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 071-001980) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |