NPI | 1205001914 |
---|---|
Entity Type | Organization |
Authorized Contact | AVERY CORTEZ POWELL President 708-228-0474 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: IL 019022452) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2008-04-23 |