| NPI | 1942686258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE A JOHNSON Executive Director 815-784-5146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |