| NPI | 1407216252 |
|---|---|
| Doing Business As | CCMHA |
| Entity Type | Organization |
| Authorized Contact | REBECCA A CARROLL Billing Supervisor 217-824-4905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |