| NPI | 1801975586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MARY SITOWSKI Director 630-543-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180-005922) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IL 16650) |
| 251S00000X Community/Behavioral Health (Licence: IL 72256) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2011-09-09 |