NPI | 1336985159 |
---|---|
Doing Business As | HYACINTH HOME |
Entity Type | Organization |
Authorized Contact | SHERANN IVY CEO 312-468-9075 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2024-07-02 |
Last Update Date | 2024-07-02 |