| NPI | 1790125417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BURGESS Executive Director 847-952-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 04006) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |