| NPI | 1942427786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DENISE PORTER Executive Director 773-375-6146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 20020006C) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2015-12-18 |