| NPI | 1871662882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD M. FARMER Executive Director 708-596-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 338374-06) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |