| NPI | 1891367330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T'KIRA SILER-WILKERSON Administrator 773-628-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-15 |