| NPI | 1487041182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA ZARATE Owner 847-461-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180009016) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-07-29 |