| 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 |