| NPI | 1679667737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS CARPENTER CFO 217-352-7158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-04-14 |