| NPI | 1346799061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DEER President 773-826-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 00001408) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |