Mosaic

NPI #1780731281 in Macomb, Illinois

Provider Information

NPI Number: 1780731281
Entity Type: Organization
Organization Name: Mosaic
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 5, 2007
Last Updated: Jan 18, 2024

Practice Location

Address: 220 N LAFAYETTE ST
City: Macomb
State: Illinois
ZIP Code: 61455-2206
Phone: (309) 837-5506

Authorized Official

Name: SCOTT HOFFMAN
Title: SR VP & CHIEF FINANCIAL OFFICER
Phone: (402) 896-3884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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