| NPI | 1659825560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK VELASQUEZ Executive Director 773-777-7112 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-0534-0005-A) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |