| NPI | 1952687675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA LATRICE TAYLOR Counselor 312-520-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180007187) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |