NPI | 1003287210 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA J JOHNSON CFO 815-875-4548 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 199100050C) |
Enumeration Date | 2015-10-14 |
Last Update Date | 2015-10-14 |