| NPI | 1306036918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESSI SMEBAKKEN President 847-870-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149-005313) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |