| NPI | 1407245699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GRABOWSKI Owner 773-929-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 178010687) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |