NPI | 1841626603 |
---|---|
Entity Type | Organization |
Authorized Contact | GARTH AMUNDSON Director 708-930-1833 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149005296) |
Enumeration Date | 2013-09-24 |
Last Update Date | 2013-09-24 |