| NPI | 1609062199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE MICHELLE KATOVICH Executive Director 312-263-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180006195) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |