| NPI | 1902161490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERED GREGORY PRUITT Chief Operating Officer 312-328-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 225X00000X Occupational Therapist | |
| 253Z00000X In Home Supportive Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 341600000X Ambulance | |
| 363LF0000X Nurse Practitioner, Family | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2023-12-07 |