| NPI | 1790225050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DILLARD CEO 708-772-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-8723-0002-A) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |