| NPI | 1518238500 |
|---|---|
| Doing Business As | BOURBONNAIS TERRACE N.H |
| Entity Type | Organization |
| Authorized Contact | JAMIE NICKLE Director 630-501-0996 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2017-01-31 |