| NPI | 1053898445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN KLEIN President 847-329-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |