| NPI | 1952949802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANCIS SCHUSTER CFO 815-387-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |