NPI | 1023723392 |
---|---|
Other Name | FOGLIA RESIDENTIAL TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | MARY JO MACKNISKAS Sr. Director, Net Revenue And Reimb 773-213-0776 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2023-01-20 |
Last Update Date | 2023-01-20 |