| NPI | 1922496355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESMOND RAFTERY President 630-373-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149.008719) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |