| NPI | 1790018067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD A. BAKER Executive Director 847-866-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 060673-10) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |