| NPI | 1376841262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY A KOPERA CEO 773-769-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149014521) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |