| NPI | 1760857213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM SHEEHAN VP Of Home & Community Based Servic 847-635-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-10 |