| NPI | 1124279146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA CLARK Director Of Administraiton, Finance 847-733-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180004870) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |