| NPI | 1043264351 |
|---|---|
| Doing Business As | NORTHLAKE BEHAVIORAL HEALTH SYSTEM |
| Entity Type | Organization |
| Authorized Contact | TONY SHIR President 847-452-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: LA 214) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-04-06 |