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 |