| NPI | 1689837189 |
|---|---|
| Other Name | ANDOVER |
| Entity Type | Organization |
| Authorized Contact | CINDY FLETCHER VP Accounting 309-691-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |