| NPI | 1881979821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA E FOSTER Therapist 773-576-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180007233) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |