| NPI | 1437315017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJOY PURATHUMURIYIL VARGHESE Resident 847-413-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: IL 125053871) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |