| NPI | 1871322008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CENTERRAHDA ROGERS Director 708-275-2092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2024-07-27 |