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 |