| NPI | 1194909713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BONACCORSI Chief Legal Officer 312-762-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 025-R-0271) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2022-10-07 |