| NPI | 1407692221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PATEL VP Revenue Cycle Management 708-745-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |