| NPI | 1174574016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BARCLAY Tlp Director 773-722-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 246705-05) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |