NPI | 1346445871 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM DAVID AGOR Owner 630-621-5824 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 18.0005579) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2024-03-05 |