NPI | 1710425053 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWNA BURKHART President 630-336-7090 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180007525) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2017-02-07 |