| NPI | 1194990002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD C. ANDERSON President 773-274-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 400477) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |