| NPI | 1770338022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY M BOND President/Executive Director 773-505-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-04-20 |
| Last Update Date | 2024-04-20 |