| 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 |