| NPI | 1215392931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SIMPSON CEO 773-742-8053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-3826-0001-A) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |