| NPI | 1356519714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J. GOLDEN Executive Director 773-737-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-6701-0002-A) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |