| NPI | 1447284393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L GRAF Executive Director 847-695-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: IL 012161-10) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 012161-10) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 012161-10) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: IL 012161-10) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |