| NPI | 1487832804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L STAFSTROM Accounting Manager 618-465-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 94S229) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2022-07-21 |