| NPI | 1447549928 |
|---|---|
| Other Name | CENTER GLEN III |
| Entity Type | Organization |
| Authorized Contact | GAIL FISHER Administrator 847-509-8260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 494988) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |