| NPI | 1821740721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE DODSON Director 708-634-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QC1500X Clinic/Center, Community Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2023-02-28 |