NPI | 1710070701 |
---|---|
Former Legal Business Name | AERIES HEALTHCARE OF ILLINOIS INC |
Entity Type | Organization |
Authorized Contact | STEVE FILTON Sr VP CFO 417-274-9038 |
Organization Subpart ? | No |
Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: IL 1720146) |
Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: IL 0005124) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2011-03-14 |