| NPI | 1558125849 |
|---|---|
| Doing Business As | CMHC LAKE |
| Entity Type | Organization |
| Authorized Contact | HOLLIS GORRIE COO 847-385-5041 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |