Cerebral Palsy of Southwestern Illinois
NPI #1427426055 in Belleville, Illinois
Provider Information
- NPI Number
- 1427426055
- Entity Type
- Organization
- Organization Name
- Cerebral Palsy of Southwestern Illinois
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Sep 14, 2015
- Last Updated
- Oct 6, 2015
Practice Location
- Address
- 138 LINCOLN PLACE CT
- Address 2
- SUITE 101
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-5884
- Phone
- (618) 233-0210
Authorized Official
- Name
- JEANETTE HAEGE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 233-0210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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