Charleston Transitional Facility

NPI #1679667737 in Champaign, Illinois

Provider Information

NPI Number: 1679667737
Entity Type: Organization
Organization Name: Charleston Transitional Facility
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 3, 2006
Last Updated: Apr 14, 2021

Practice Location

Address: 1902 FOX DR.
Address 2: SUITE B
City: Champaign
State: Illinois
ZIP Code: 61820-7158
Phone: (217) 352-7158

Authorized Official

Name: DENNIS CARPENTER
Title: CFO
Phone: (217) 352-7158

Specialties & Taxonomy Codes

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

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