NPI | 1073643474 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA KIM CORNWELL CEO 309-691-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
251S00000X | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2016-06-01 |