| NPI | 1962738021 |
|---|---|
| Former Legal Business Name | ONE HOPE UNITED NORTHERN REGION |
| Other Name | WEST LAKE/LAKE VILLA |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HOPKINS Cqir Medicaid Coordinator 312-949-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: IL 37069157003) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2017-08-28 |