| NPI | 1205293248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN BROOKS Executive Director 224-220-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |