| NPI | 1609463256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHETA ADAR COULTER CEO 708-359-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2022-09-22 |