| NPI | 1003230384 |
|---|---|
| Former Legal Business Name | GREEN CENTER |
| Entity Type | Organization |
| Authorized Contact | JAEKWQAN HA Executive Director 847-885-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-20 |