| NPI | 1356792477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REN F DUARTE Clinical Psychologist 773-315-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IL 071-006715) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-04-21 |