| NPI | 1891887030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL FISHER Administrator 847-509-8260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 381801) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-03-17 |