| NPI | 1184374522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA RIOS Executive Director 773-983-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |