NPI | 1881930626 |
---|---|
Former Legal Business Name | ECKER CENTER FOR MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | PAULINE ROCHFORT Billing Director 847-695-0484 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 04050) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2012-12-26 |
Last Update Date | 2020-07-20 |