NPI | 1689058588 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN HUFFMAN - GOTTSCHLING Executive Director 773-338-9102 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2015-07-10 |
Last Update Date | 2015-09-21 |