| NPI | 1447393699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD GULLEY Executive Director 847-982-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |