| NPI | 1104109255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CLAIRE LEIGHTON Intake Manager 847-789-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |