| NPI | 1437410891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MROZ Development Director 312-399-4193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |