| NPI | 1801072970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ R GVERO Exective Director 847-336-7302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 897) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-18 |