| 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 |