| NPI | 1588942312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN F ENNIS Owner 312-725-9745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 071-008031) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |