| NPI | 1427285907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MILLER Director 847-864-9133 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149-001984) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |