Residential Options
NPI #1316166382 in Granite City, Illinois
Provider Information
- NPI Number
- 1316166382
- Entity Type
- Organization
- Organization Name
- Residential Options
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 25, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 56 CHOUTEAU TRACE PKWY
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-6710
- Phone
- (618) 797-2262
Authorized Official
- Name
- SUSAN L STAFSTROM
- Title
- ACCOUNTING MANAGER
- Phone
- (618) 465-0044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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