| NPI | 1790024172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL ANDREW RIOJAS Clinical Associate Community Connec 815-545-5862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |