| 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 |