| NPI | 1063894624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JACKSON CFO 773-379-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 23624) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |