| NPI | 1548991458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHIDI SOYEBO Director 773-707-0524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2023-07-06 |