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 |