| NPI | 1891790242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WINTER CFO 847-675-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: IL 0035618) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2015-09-04 |