| NPI | 1275906786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA K TOPALOV Owner 630-441-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 1119270) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |