| NPI | 1760622724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT PAUL KNOTT President 312-804-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 03637430) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036037430) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |