| NPI | 1720513922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELA THURMON CEO 312-656-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 201700003C) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |