| NPI | 1407244874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI DAVIS CEO 773-425-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 150.014137) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |