| NPI | 1306202619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HASCEK Billing Coordinator 708-352-3580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-04-18 |