| NPI | 1063880623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE FROEHLICH TRACY President 847-530-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 201500009C) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |