| NPI | 1831363407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BLOSSOM Executive Director 815-842-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |