| NPI | 1902173966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA BRAINE Executive Director 773-745-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 149003227) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |