Organization · Type 2 NPI
Locust Street Resource Center Cila #1
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Carlinville, IL
Practice location
124 W Buchanan St
Carlinville, IL 62626-1027
Fax (217) 854-9729
Mailing address
320 S Locust St
Carlinville, IL 62626-1648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| 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 Carlinville
About NPI 1700330545
Locust Street Resource Center Cila #1's National Provider Identifier is 1700330545, issued on Aug 10, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Carlinville, IL. The record was last updated on Jul 21, 2022.