| NPI | 1720422959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH GERARD KNAZZE CEO 630-264-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A54450002A) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |