| NPI | 1457685604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA MARIE MCFIELD Executive Director 773-807-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180006065) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |