| NPI | 1841660321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE BAAS Assistant Executive Director 773-594-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 199700004c) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |