| NPI | 1184792376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES BAKER Executive Director 815-786-8468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |