Cerebral Palsy of Southwestern Illinois
Cerebral Palsy of Southwestern Illinois is a Case Management Agency in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
138 Lincoln Place Ct Ste 101Belleville, IL 62221-5884
Phone: (618) 233-0210
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 199100130S (IL) |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1427426055 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeanette Haege — Executive Director · (618) 233-0210 |
| NPI enumerated | September 14, 2015 |
| Last updated in NPPES | October 6, 2015 |
| Mailing address | 138 Lincoln Place Ct, Suite 101, Belleville, IL 62221-5884 |
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