| NPI | 1346733698 |
|---|---|
| Doing Business As | YOUNG ADULT PROGRAM DIANE'S HOUSE |
| Other Name | YOUNG ADULT PROGRAM DIANE'S HOUSE |
| Entity Type | Organization |
| Authorized Contact | MARCELLA KLAUER Executive Assistant 773-572-5480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0801X |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2022-07-14 |