NPI | 1780893859 |
---|---|
Other Name | BHS EDGEWATER |
Entity Type | Organization |
Authorized Contact | GERALD NOONAN Chief Financial Officer 847-635-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0286-0003-A) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |