Community Support Systems Cfc 20

NPI #1023369915 in Effingham, Illinois

Provider Information

NPI Number
1023369915
Entity Type
Organization
Organization Name
Community Support Systems Cfc 20
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Oct 2, 2012
Last Updated
Oct 21, 2016

Practice Location

Address
1901 S 4TH ST STE 209
ZIP Code
62401-4162
Phone
(217) 705-4300

Authorized Official

Name
MS. RITA D WAHL
Title
PROGRAM MANAGER
Phone
(217) 705-4300

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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