| NPI | 1699946764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF A. MATTER Director 630-406-8742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 06375) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |