| NPI | 1841438975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ALI Share Holder 630-337-2893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 036.119188) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |