| NPI | 1295870137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A LEWIS President 309-734-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 01-005-939) | |
| 347C00000X Private Vehicle (Licence: IL 01-005-939) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-04-16 |