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