| NPI | 1497120117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO CORREA President / Chief Executive Officer 773-564-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 150.015028) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |