| NPI | 1184113987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO A ROSARIO CEO/President 773-313-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 201800006C) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |