| NPI | 1902023096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL SMITH Chief Accountant 773-941-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: IL 36103) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2016-05-12 |