| NPI | 1366869067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTEN TILLIS Counselor Ii 847-377-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 178007626) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |