| NPI | 1619241940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHIDAT DADA Executive Director 773-488-2887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |