| NPI | 1467746388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BOARD Director Of Community Mental Health 847-417-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2021-12-03 |