| NPI | 1619285459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE ROBINSON President/CEO 773-287-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149011851) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |