| NPI | 1316124142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUPE VILLANUEVA Executive Director 847-559-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 91C076) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2022-09-22 |