| NPI | 1548564719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN JEFFERS Executive Director 847-358-5510 |
| 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 | 2011-01-03 |
| Last Update Date | 2020-02-14 |