| NPI | 1528149382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN CONWAY President 773-525-7176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: IL 0024968) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-07-14 |