| NPI | 1093984460 |
|---|---|
| Doing Business As | HRDI COMMUNITY SUPPORT RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | RENZY RICHARDSON Director Of Contract Administration 312-441-9009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 04073) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2021-03-25 |