| NPI | 1801252994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS COLCLASURE Executive Director 217-774-5587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: IL 199100020S) |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 04121) | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |