| NPI | 1881838050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J NORDLOH Controller 708-747-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2010-12-03 |