| NPI | 1134126063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WINTER CFO 847-675-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: IL 0049262) |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-09-09 |