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Organization
ASSOCIATION FOR INDIVIDUAL DEVELOPMENT
Active
Organization
ASSOCIATION FOR INDIVIDUAL DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES L. BAKER (PRESIDENT/CEO)
(690) 966-4001
Entity
Organization
Contact information
Practice address
507 E TAYLOR ST, DEKALB, IL 60115-4573
(630) 966-4475
Mailing address
309 NEW INDIAN TRAIL CT, AURORA, IL 60506-2411
(630) 966-4475
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/14/2019
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