| NPI | 1043493034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFFIE G. BARNER Billing Manager 312-441-9009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |