| NPI | 1639466915 |
|---|---|
| Doing Business As | JOHN COSTIGAN RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | ROXANE HARCOURT Chief Executive Officer 630-483-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IL 346984) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |