Association for Individual Development

NPI #1093265126 in Aurora, Illinois

Provider Information

NPI Number: 1093265126
Entity Type: Organization
Organization Name: Association for Individual Development
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 13, 2016
Last Updated: Oct 13, 2016

Practice Location

Address: 1230 N HIGHLAND AVE
City: Aurora
State: Illinois
ZIP Code: 60506-1401
Phone: (630) 966-4000

Authorized Official

Name: MOHAMED OLDMEN JALLOH, BA
Title: MENTAL HEALTH PROFESSIONAL
Phone: (331) 425-5280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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