| NPI | 1467818138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SHAVER President/CEO 312-424-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 2B05IPI129) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2022-07-01 |