| NPI | 1720553746 |
|---|---|
| Doing Business As | NORTHERN ILLINOIS ACADEMY |
| Entity Type | Organization |
| Authorized Contact | KAY TURNER Assistant Director Of PT Accounts 256-880-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |