Whalio Doctors

NPI 1255706537

Pioneer Center for Human Services

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Crystal Lake, IL

Practice location

Address
717 Providence Ln, Crystal Lake, IL 60012-3781
Phone
(815) 344-1230
Mailing address
4031 W Dayton St, McHenry, IL 60050-8377

Authorised official

Name
Frank Samuel
Title
Co-Ceo
Phone
(815) 759-7135

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1255706537
Entity type
Organization
NPI issued
11 Dec 2015
Record last updated
23 Feb 2021

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.