| NPI | 1871966424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOM POLLOCK Executive Director 217-442-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |