| NPI | 1891830352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LEIGH MCCAFFERTY Social Work 847-723-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: IL 149007270) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-06-17 |