| NPI | 1841036639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PATEL Vice President Revenue Cycle Manage 708-712-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |