| NPI | 1619549151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLANLE ADEOYE Executive Director 773-615-7648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |