| NPI | 1386094480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SCHUETH Controller 773-273-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 2000602) |
| Additional Taxonomies | 251C00000X |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 2000594) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 2000644) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 199600013C) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |