Pioneer Center for Human Services

NPI #1477928752 in Marengo, Illinois

Provider Information

NPI Number: 1477928752
Entity Type: Organization
Organization Name: Pioneer Center for Human Services
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 11, 2015
Last Updated: Jul 26, 2021

Practice Location

Address: 301 W GRANT HWY
City: Marengo
State: Illinois
ZIP Code: 60152-3038
Phone: (815) 759-7182

Authorized Official

Name: JULIE JOHNSEY
Title: CREDENTIAL BILLING SPECIALIST
Phone: (805) 759-7154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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