Whalio Doctors

NPI 1063868826

Community Workshop and Training Center, INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Peoria, IL

Practice location

Address
3215 N University St, Peoria, IL 61604-1318
Phone
(309) 686-3300
Fax
(309) 686-0316

Authorised official

Name
Patricia Gratton
Title
Executive Director
Phone
(309) 686-3300

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X

Registry record

NPI
1063868826
Entity type
Organization
NPI issued
11 May 2016
Record last updated
11 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.