| NPI | 1245668854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA OMOROGBE Executive Director 708-418-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 201300011C) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |