| NPI | 1144935644 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | JEAN CLAUDE MUNYANEZA Managing Director 312-402-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-01-18 |