| NPI | 1144763269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDEN NEWMARK Clinical Director 773-383-4817 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IL 149.017861) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |