| NPI | 1568742617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES LITTLE Business Manager 847-559-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2022-09-22 |