| NPI | 1336145853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SELDEN CEO 773-769-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 199100067C) | |
| 251C00000X | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2015-12-29 |