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