NPI | 1295865350 |
---|---|
Former Legal Business Name | SPRINGFIELD ASSOCIATION FOR RETARDED CITIZENS |
Entity Type | Organization |
Authorized Contact | CARLISSA PUCKETT Executive Director 217-793-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-08-22 |