| NPI | 1336406263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ANDERSON Behavioral Health Counselor 708-343-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: IL 5h00000x) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |