| NPI | 1437447257 |
|---|---|
| Other Name | CENTER GLEN I |
| Entity Type | Organization |
| Authorized Contact | GAIL FISHER Administrator 847-509-8260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 397059) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |