| NPI | 1104252444 |
|---|---|
| Doing Business As | THE GLENWOOD OF MT. ZION |
| Entity Type | Organization |
| Authorized Contact | SHELLEY NUELLE Director 217-821-9539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |