| NPI | 1174709810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JOHNSON Executive Director 847-360-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2016-11-04 |