| NPI | 1538631817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIRA KRVAVAC Ar Director 224-470-2657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2025-09-11 |