| NPI | 1730514522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SIMMONS-FIORITO President 630-906-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-1925-0003-A) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |