| NPI | 1184929390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GRAF Executive Director 847-695-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 149.000422) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |