| NPI | 1881389591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA COWLES Owner 708-601-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-04-07 |