NPI | 1154454775 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERRI SAINDON Rehab. Coordinator 815-932-4022 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
347B00000X Bus | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2022-07-21 |