NPI | 1831545268 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL OGUNRO President/CEO(Operations) 773-721-6535 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 200400002C) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2016-05-04 |