| NPI | 1417388026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL MILLER Owner 312-709-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180008926) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2014-05-06 |