| NPI | 1649967381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE N HENRY CEO 708-821-9642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |