| NPI | 1083282586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY K TORTORICI Director Of Finance 708-649-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-06-12 |
| Last Update Date | 2021-06-18 |