| NPI | 1245004944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA LLOYD CEO 312-725-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
| 251C00000X | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QC1800X | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |