| NPI | 1013590793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMEICA BETHEL Chief Executive Officer 708-971-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| 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 |