| NPI | 1407426000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICKA SIMS Owner/CEO 708-578-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-07-22 |