| NPI | 1811207251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS HERNANDEZ Director 847-593-6201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A3925-0001-a) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |