| NPI | 1548200934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R KROOS Executive Director 815-895-5108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 91C046) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-09-11 |