| NPI | 1245830298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIQUITA LEE CEO/Founder 773-304-3699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2023-02-28 |