NPI | 1124154661 |
---|---|
Entity Type | Organization |
Authorized Contact | RAE RICH President 847-687-3085 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149002472) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2014-04-08 |