| NPI | 1174035059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EULA BURGE C.E.O/Executive Director 708-248-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2022-02-12 |