| NPI | 1083822373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SELDEN CEO 773-769-4313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 199100067C) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2016-01-04 |