NPI | 1881971455 |
---|---|
Entity Type | Organization |
Authorized Contact | CORY DANIELLE GUMM CEO 773-305-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2011-11-10 |
Last Update Date | 2024-07-19 |