| NPI | 1932318920 |
|---|---|
| Other Name | BHS KENMORE FACILITY |
| Entity Type | Organization |
| Authorized Contact | MARK STUTRUD President 847-390-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0286-0009-A) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A-0286-0011-A) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A-0286-0008-A) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A-0286-0012-A) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-13 |