| NPI | 1164715181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RIGGIO President 773-490-0576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149010964) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |