| NPI | 1245585074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA JEAN BURKE Secretary/Treasurer 630-299-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 1-12-11491) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |