| NPI | 1982098398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLINA BLINDERMAN Clinical Manager 773-321-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IL 150014247) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |