| NPI | 1912051681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE HUMES President CEO 708-283-1679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180004764) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |