| NPI | 1851782817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRIAM TILLMAN President 773-484-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149004649) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |