| NPI | 1932330446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDI TINWALLA Md 630-379-8183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IL 036109969) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |