Organization · Type 2 NPI

Catina Ballin

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Wonderlake, IL

NPI number 1649629346 Active

Practice location

8808 Riley Road
Wonderlake, IL 60097

Mailing address

8808 Riley Rd
Wonder Lake, IL 60097-8986

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

About NPI 1649629346

Catina Ballin's National Provider Identifier is 1649629346, issued on Jun 3, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Wonderlake, IL. The record was last updated on Jun 3, 2016.