| NPI | 1376187617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA L FORD CEO/Owner 773-559-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |