NPI | 1740604412 |
---|---|
Entity Type | Organization |
Authorized Contact | JIM MONTERASTELLI CEO 815-223-4488 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 251V00000X Voluntary or Charitable |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
347B00000X Bus | |
Enumeration Date | 2014-02-14 |
Last Update Date | 2014-02-14 |