| NPI | 1497042691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA TOLAND President 773-895-7609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 1041c0700x) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |