NPI 1194937219

Human Service Center

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

Practice location

Address: 101 Melmar CT, Sparta, IL 62286-1183
Phone: (618) 282-6233
Fax: (618) 282-6220
Mailing address: 10257 State Route Three, Red Bud, IL 62278

Authorised official

Name: Amy Bauer
Title: Mis Coordinator
Phone: (618) 282-6233

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Illinois →

Registry record

NPI: 1194937219
Entity type: Organization
NPI issued: 3 May 2007
Record last updated: 8 Jan 2013

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.