| NPI | 1841476983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE J GIBSON Vice President 773-818-1854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 65704412) |
| Enumeration Date | 2008-01-19 |
| Last Update Date | 2008-01-19 |