| NPI | 1669625398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE SCHAFFER Owner 312-213-0138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149.012615) |
| Enumeration Date | 2008-10-26 |
| Last Update Date | 2008-10-26 |