Organization · Type 2 NPI
Southern Illinois Community Support Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · New Baden, IL
Practice location
300 E Illinois St
New Baden, IL 62265-1822
Fax (618) 588-4673
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 New Baden
About NPI 1184091167
Southern Illinois Community Support Services's National Provider Identifier is 1184091167, issued on Aug 26, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in New Baden, IL. The record was last updated on Aug 26, 2015.