| NPI | 1912026261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK BOIEN State Director 630-860-5724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NE 51069149) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |