| NPI | 1811284565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE MAXWELL Residential COO Rdinator 815-933-6690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |