NPI | 1952711806 |
---|---|
Entity Type | Organization |
Authorized Contact | PHYLLIS FERGUSON-COLLUM Counselor 773-654-3875 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149015907) |
Enumeration Date | 2014-04-30 |
Last Update Date | 2014-04-30 |