NPI | 1063683449 |
---|---|
Other Name | PALMER SQUARE ADULT CILA |
Entity Type | Organization |
Authorized Contact | GERALD NOONAN Chief Financial Officer 847-635-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 926169) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2008-03-13 |