| NPI | 1972127462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE WEBB Owner 847-445-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |