NPI | 1902192305 |
---|---|
Other Name | PRAIRIEVIEW CENTER |
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 398621) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2011-06-23 |