| NPI | 1053619528 |
|---|---|
| Other Name | WALTER L. CHERRY GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANTHONY SCHRANTZ Chief Financial Officer 847-245-6214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 110330-09) | |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2021-05-03 |