NPI | 1972752665 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS DEER President 773-826-0398 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A51920001A) |
Enumeration Date | 2008-09-17 |
Last Update Date | 2008-09-17 |