| NPI | 1477919546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN F GOODWIN Executive Director 708-753-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |