| NPI | 1619331600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN JEAN HANCE Billing Clerk 217-323-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2020-03-10 |