| NPI | 1801343348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA LYNETTE NICHOLS Owner 773-386-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |