| NPI | 1407105208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAE KWAN HA Executive Director 773-478-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: IL ADS 1012011) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: IL ADS 1013007) |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: IL ADS1313002) | |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2013-04-25 |