Elijah's Journey

NPI #1215359492 in Bolingbrook, Illinois

Provider Information

NPI Number: 1215359492
Entity Type: Organization
Organization Name: Elijah's Journey
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 7, 2014
Last Updated: Jan 7, 2014

Practice Location

Address: 269 TECUMSEH DR
City: Bolingbrook
State: Illinois
ZIP Code: 60490-5564
Phone: (815) 621-6406

Authorized Official

Name: LESLIE LARRY, MBA
Title: DIRECTOR
Phone: (815) 621-6406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Clinic/Center - Adult Day Care — Adult Day Care	261QA0600X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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