| NPI | 1821051608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANTHONY SCHRANTZ Chief Financial Officer 847-245-6214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 261QM0801X (Licence: IL 001) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 001300-10) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2022-07-21 |