Organization · Type 2 NPI
Supporting Community Independence
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bethalto, IL
Practice location
1 Polo Grounds Ct
Bethalto, IL 62010-2623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Bethalto
About NPI 1023643772
Supporting Community Independence's National Provider Identifier is 1023643772, issued on Mar 3, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bethalto, IL. The record was last updated on Mar 3, 2020.