| NPI | 1992110217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY ALEXANDRA STATLER Clinical Director Of Residential Tx 708-288-6327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IL 149.016511) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |