| NPI | 1912487976 |
|---|---|
| Doing Business As | NEURORESTORATIVE, ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | SERGIO P CRUZ CFO 781-708-9444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 4000021) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |