Illinois Mentor
NPI #1396954467 in Matteson, Illinois
Provider Information
- NPI Number
- 1396954467
- Entity Type
- Organization
- Organization Name
- Illinois Mentor
- Primary Specialty
- Foster Care Agency
- Enumeration Date
- May 22, 2007
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- MRS. VIVIANE NGWA, MSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (708) 679-9137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Foster Care Agency |
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