| NPI | 1679924450 |
|---|---|
| Doing Business As | ELM CITY CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS R. FREDERICK President/CEO 217-245-9504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 0517) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IL 201200001S) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |