NPI | 1427615806 |
---|---|
Entity Type | Organization |
Authorized Contact | RASHIDI SOYEBO Director 312-478-5661 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2019-05-21 |
Last Update Date | 2024-07-26 |