| NPI | 1992207724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE YOUNG Executive Director 773-981-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: IL 201700010C) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2021-01-04 |