| NPI | 1457664146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENEH HAIRGROVE Business Office Manager 847-952-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |