NPI | 1104290204 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY S NEWTON CEO/President 217-398-0754 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 101Y00000X Counselor |
103K00000X Behavior Analyst | |
104100000X Social Worker | |
Enumeration Date | 2015-11-30 |
Last Update Date | 2024-03-04 |