| NPI | 1285879668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ALI Share Holder 630-337-2893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 036119188) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |