| NPI | 1275930521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK NOWAK Facility Director 630-620-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-2151-0003-A) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2016-03-30 |