NPI | 1871897694 |
---|---|
Entity Type | Organization |
Authorized Contact | LYN ODEN Chief Executive Officer 708-910-4272 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2011-01-09 |
Last Update Date | 2011-01-09 |