| NPI | 1215388939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY MCNULTY Owner 630-664-6036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149-004463) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-08-20 |