NPI | 1548012784 |
---|---|
Doing Business As | SOFT |
Entity Type | Organization |
Authorized Contact | LATRICE MANUEL Executive Director 773-640-9412 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2024-04-02 |
Last Update Date | 2024-05-13 |