| NPI | 1093036048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY A CARROLL Records Clerk 217-824-4905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |