NPI | 1295195295 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNETTE SKAFGAARD Vice President Of Finance & Operati 708-342-5253 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 199100115C) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 199100115C) | |
Enumeration Date | 2016-03-03 |
Last Update Date | 2022-03-31 |