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 |