| NPI | 1063685527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L FERGADIS President/Owner 847-438-2014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149000872) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |