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 | 2024-09-23 |