NPI | 1548417827 |
---|---|
Other Name | KANKAKEE RIVER HOUSE CILA |
Doing Business As | KANKAKEE RIVER HOUSE CILA |
Entity Type | Organization |
Authorized Contact | MARCELLA KLAUER Executive Assistant 773-572-5480 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2008-08-19 |
Last Update Date | 2022-07-14 |