| NPI | 1548037096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANAY DENIECE WALLS CEO 773-485-9597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-05-23 |