NPI | 1558769091 |
---|---|
Entity Type | Organization |
Authorized Contact | SHUMEKA HILL Owner 773-954-4476 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 201400013C) |
Enumeration Date | 2014-12-16 |
Last Update Date | 2014-12-16 |