| NPI | 1356560890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HASCEK Billing Coordinator 708-352-3580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: IL 000028324) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 0408) | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2015-12-11 |