| NPI | 1417305897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLEEN M. BADIOLA Director 773-545-8300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 2000404) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |