| NPI | 1790265544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLONDRA WILLIAMS Owner 773-701-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20181591545) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |