| NPI | 1235197583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KARL ANDERSON Executive Director 773-736-1447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 062837) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-06-24 |