| NPI | 1326184516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY I. HURLEY Business Manager 309-852-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251B00000X Case Management | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-07-21 |