| NPI | 1205283850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRUCE O'BRIEN Director Of Fiscal Operations 312-492-5948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 199100061c) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |