| NPI | 1821491960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA BRAGG CEO 708-691-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: IL 178010247) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: IL 178010247) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 178010247) | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2023-09-24 |