| NPI | 1326336645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYMBERLY M NORTON Qmhp 708-233-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |