| NPI | 1659814192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARY WATSON Primary Therapist Ii 312-964-4617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 201543752) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |