| NPI | 1134441173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE OLIVER Quality Assurance Manager 847-549-1730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |