| NPI | 1346532900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JANICAK Executive Director 877-553-9440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 04003) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |