| NPI | 1306431960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE ZIELONKA HODGES CFO & EVP 847-583-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2023-09-20 |