| NPI | 1194078014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BRENNAN Owner 773-842-7291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180003607) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |