NPI | 1194168021 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN JAY BERG Director Of Quality Control 217-321-8344 |
Organization Subpart ? | Yes |
Primary Taxonomy | 253J00000X Foster Care Agency (Licence: IL 003973-14) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2021-06-23 |