| NPI | 1609314814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH KRISTOVIC Owner 312-610-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801099286) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |