| NPI | 1376717769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN R BRUNDAGE Executive Director 217-479-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 91S144) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 91S144) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2016-03-11 |