Cubbull, Inc.

NPI #1649625377 in Canton, Illinois

Provider Information

NPI Number: 1649625377
Entity Type: Organization
Organization Name: Cubbull, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 2, 2016
Last Updated: May 2, 2016

Practice Location

Address: 121 W ELM ST
Address 2: BOX 478
City: Canton
State: Illinois
ZIP Code: 61520-2513
Phone: (309) 224-4093

Authorized Official

Name: SUSAN L BARNHART, RN, MS, MAED, QIDP
Title: PRESIDENT
Phone: (309) 224-4093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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