Blue Island Citizens for Persons With Developmental Disabilities

NPI #1811019656 in Blue Island, Illinois

Provider Information

NPI Number: 1811019656
Entity Type: Organization
Organization Name: Blue Island Citizens for Persons With Developmental Disabilities
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Apr 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2155 BROADWAY ST
City: Blue Island
State: Illinois
ZIP Code: 60406-3050
Phone: (708) 389-6578

Authorized Official

Name: MR. RON BLOUIN
Title: EXECUTIVE DIRECTOR
Phone: (708) 389-6578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X	Primary

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