| NPI | 1619249646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY Z WOULFE Director Of Business Development 847-294-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2022-07-08 |