| NPI | 1922491919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY VINSON-BOYER Owner 847-672-9059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 248000668) |
| Enumeration Date | 2015-03-14 |
| Last Update Date | 2015-04-08 |