| NPI | 1992054498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANEE NEVILLE Executive Director 773-745-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 149015143) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |