| NPI | 1144610957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FLETCHER Director 847-219-9286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180.009405) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2015-01-31 |