| NPI | 1164640611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GRAY-WHITE President 773-354-7572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 036106823) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-08-22 |