| NPI | 1619326444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDY BORRAYO Executive Director 773-564-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 14003) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |