NPI | 1013590793 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMEICA BETHEL Chief Executive Officer 708-971-0966 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
252Y00000X Early Intervention Provider Agency | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
251B00000X Case Management | |
Enumeration Date | 2021-04-30 |
Last Update Date | 2021-04-30 |