| NPI | 1316187446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ABIODUN BALOGUN CEO 708-420-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |