NPI | 1053786939 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDY SIMS Chief Operating Officer 847-328-4090 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2015-12-03 |
Last Update Date | 2015-12-03 |