| NPI | 1295140481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY SKAS President 708-586-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180007474) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |