| NPI | 1356555072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA WEDDERIEN Cila Director 630-393-7802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |