NPI | 1689841157 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE WILLIS President 312-622-5596 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 060.009818) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2010-01-09 |