NPI | 1306118997 |
---|---|
Doing Business As | CHARLESTON TRANSITIONAL FACILITY |
Entity Type | Organization |
Authorized Contact | ERIC EDQUIST Vice President 708-922-1532 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 320900000x) |
Enumeration Date | 2012-01-30 |
Last Update Date | 2021-04-14 |