NPI | 1790001600 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ELLEN COMMARE Executive Director 815-986-1947 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: IL 305692-06) |
Enumeration Date | 2010-04-16 |
Last Update Date | 2015-05-24 |