| NPI | 1336318617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R. BILLINGHAM Associate Director, Professional Se 847-696-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |