| NPI | 1073251948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE VANDYCK Manager 224-595-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-05-21 |
| Last Update Date | 2022-05-21 |