| NPI | 1821536236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD SUMMERRISE CEO/President 773-375-8637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A82510003A) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |