| NPI | 1194116855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY BRUCE President 312-352-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 025-470-D) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |