| NPI | 1912394354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY FALLS Speech Language Pathologist 708-772-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: IL 146005881) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |