| NPI | 1437535309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELYN A SAN JUAN Owner/Chief Executive Director 773-457-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 0530) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |