| NPI | 1700061538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET SHERRY PEMBERTON Vice President 800-866-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 251S00000X (Licence: IL 4000027) | |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2023-05-24 |