| NPI | 1225346893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA BILLUPS CALDWELL Managing Partner 708-310-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 00725) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |