| NPI | 1386041192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA JOYCE GOLDEN President 773-848-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |