| NPI | 1972820850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALYN YOUNG Administrator 312-617-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH3469) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |