| NPI | 1174578462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HOLCOMB Administrator 773-947-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |