| NPI | 1205206596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT EVERSON Chief Operating Officer 312-673-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2018-11-09 |