| NPI | 1548629801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DENESE TAYLOR-CRAWFORD Director Member 773-203-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |