| NPI | 1992092159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERARD J COLLINS Chief Executive Officer 847-887-9051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2015-06-15 |