| NPI | 1518114040 |
|---|---|
| Doing Business As | KANKAKEE WEST HOUSE |
| Other Name | KANKAKEE WEST HOUSE |
| Entity Type | Organization |
| Authorized Contact | MARCELLA KLAUER Executive Assistant 773-572-5480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2022-07-14 |