| NPI | 1609222728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALGEAN GARNER Director/Owner 773-960-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 071007044) |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2016-05-07 |