Organization
SAVING ONE FAMILY AT A TIME
Active
Other names
SOFT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATRICE MANUEL (EXECUTIVE DIRECTOR)
(773) 640-9412
Entity
Organization
Contact information
Practice address
1415 E 90TH PL, CHICAGO, IL 60619-7906
(773) 640-9412
Mailing address
1415 E 90TH PL, CHICAGO, IL 60619-7906
(773) 640-9412
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
05/13/2024
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