Organization · Type 2 NPI
Hazel Bland Promise Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · East St. Louis, IL
Practice location
2900 State St
East St. Louis, IL 62205-2234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 199200170S (IL) |
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.
About NPI 1235580564
Hazel Bland Promise Center's National Provider Identifier is 1235580564, issued on Jun 28, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in East St. Louis, IL. The record was last updated on Jun 28, 2016.