| NPI | 1790813095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BONACCORSI Chief Legal Officer 312-762-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 686512111) |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2026-04-09 |