Organization · Type 2 NPI
Catina Ballin
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Wonderlake, IL
Practice location
8808 Riley Road
Wonderlake, IL 60097
Mailing address
8808 Riley Rd
Wonder Lake, IL 60097-8986
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None 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.