| NPI | 1023667276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CECILIA EMELO Manager 224-716-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |