| NPI | 1780831214 |
|---|---|
| Doing Business As | SOUTHSIDE HOUSING ISLANDER HOUSE |
| Other Name | SOUTHSIDE HOUSING ISLANDER HOUSE |
| Entity Type | Organization |
| Authorized Contact | MARCELLA KLAUER Executive Assistant 773-572-5480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2022-07-14 |