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 |