| NPI | 1922408889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL J MCCARTY Exec Office Asst 773-238-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2021-07-06 |