| NPI | 1972559383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE L. SHAVER President/CEO 312-424-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IL 00423610) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-07-01 |