NPI | 1902934102 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS FREDERICK President CEO 217-245-9504 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: IL 04052) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 0517) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2020-08-22 |