| NPI | 1750793337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE SNYDER Owner 630-386-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180005259) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |