| NPI | 1073724563 |
|---|---|
| Other Name | KEYSTONE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | GERALD NOONAN Chief Financial Officer 847-635-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |