| NPI | 1114174521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH P DAVIS President 847-729-9017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-4291-0001-A) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |