| NPI | 1255744975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI HOLLIS Co Owner 312-600-8493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 056007283) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |