NPI | 1427710722 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY Z WOULFE Director Of Business Development 847-294-1910 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-10-13 |
Last Update Date | 2022-07-19 |