| NPI | 1942965736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA GREEN Management 708-940-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-05 |