| NPI | 1467699827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER G MYERS Co Executive Director 773-702-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 5734-613-2) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |