| NPI | 1174718605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA RUTH AMSTUTZ President 630-510-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL IL071004054) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |