NPI | 1588054704 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS DEER President 773-826-0398 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 000014008) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2015-01-26 |