NPI | 1811655095 |
---|---|
Entity Type | Organization |
Authorized Contact | TANJDRA LASANDRA ROUSE CEO 708-735-3405 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
174200000X Meals | |
251B00000X Case Management | |
Enumeration Date | 2021-12-03 |
Last Update Date | 2021-12-03 |