NPI | 1326800517 |
---|---|
Entity Type | Organization |
Authorized Contact | GUS VAN DEN BRINK President/CEO 708-730-6216 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2024-01-24 |
Last Update Date | 2024-02-05 |