| NPI | 1275838096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE INEZ DOMINGUEZ President/CEO 708-832-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2018-07-03 |