| NPI | 1487095907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE JOHNSON Owner 708-499-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149011142) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2023-06-01 |