| NPI | 1396919460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY WHITE CEO 708-210-9085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149006744) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |