NPI | 1124644885 |
---|---|
Former Legal Business Name | ECKER CENTER FOR MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | PAULINE ROCHFORT Billing Director 847-695-0484 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-06-18 |
Last Update Date | 2020-07-20 |