| NPI | 1578697835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY Z WOULFE Director Of Business Development 847-294-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149011289) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2022-07-08 |