| NPI | 1679729990 |
|---|---|
| Doing Business As | NORTHSIDE HOUSING 2 JACQUELINE TERRACE |
| Other Name | NORTHSIDE HOUSING 2 JACQUELINE TERRACE |
| Entity Type | Organization |
| Authorized Contact | MARCELLA KLAUER Executive Assistant 773-572-5480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2022-07-14 |