| NPI | 1558729558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN GAUL CFO 708-547-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 101YP2500X Counselor, Professional (Licence: IL 180009732) | |
| 101YP2500X Counselor, Professional (Licence: IL 178009665) | |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-05 |