| NPI | 1245118447 |
|---|---|
| Doing Business As | ST. DOMINIC |
| Entity Type | Organization |
| Authorized Contact | FREDERICK SMITH Administrator Of Community Services 847-390-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |