NPI | 1508174749 |
---|---|
Other Name | MARYVILLE MADDEN SHELTER |
Entity Type | Organization |
Authorized Contact | NANCY Z WOULFE Director Of Business Development 847-294-1910 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2010-09-22 |
Last Update Date | 2022-07-08 |