| NPI | 1497933881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HATTIE WASH Chief Executive Officer 312-613-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-5889-0001-A) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |