| NPI | 1912353962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELAKU TADESSE CEO 708-271-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 201500011C) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |