| NPI | 1538524236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELYN SHINE CEO 708-743-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 201400008C) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |