| NPI | 1477508265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JEROME LAFLORA Executive Director 773-483-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |