Organization · Type 2 NPI
Cubbull, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Canton, IL
Practice location
121 W Elm St, Box 478
Canton, IL 61520-2513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 200900009S (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 1649625377
Cubbull, Inc.'s National Provider Identifier is 1649625377, issued on May 2, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Canton, IL. The record was last updated on May 2, 2016.