| NPI | 1730623786 |
|---|---|
| Doing Business As | NEW AGE HUMAN SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHARISSA MUNOZ-LIGO Executive Director/Qidp/RN 773-491-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 201500008C) |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |