| NPI | 1194994574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L GRAF Executive Director 847-695-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 21335772033048) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |