| NPI | 1497635833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN MCCAMMACK-PAULUS Quality Assurance Manager 618-468-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |