NPI | 1932380706 |
---|---|
Entity Type | Organization |
Authorized Contact | EFFIE G. BARNER Billing Manager 312-441-9009 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AL 008480000) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2007-11-20 |
Last Update Date | 2007-11-20 |