| NPI | 1982150017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDY BORRAYO President&CEO 773-564-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 00488) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |