| NPI | 1558531947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L GRAF Executive Director 847-695-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 38443402033068) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management (Licence: IL 38443402033068) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2009-05-13 |