| NPI | 1912029521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA C. RAFAEL Administrator 847-244-8196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: IL 0023036) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-07-20 |