| NPI | 1518239706 |
|---|---|
| Doing Business As | RESURRECTION BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOHN MYRON NETHERLY Behavioral Health Technicam 773-567-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 261QM0801x) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |