Organization
COMMUNITY WORKSHOP AND TRAINING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA GRATTON (EXECUTIVE DIRECTOR)
(309) 686-3300
Entity
Organization
Contact information
Practice address
3215 N UNIVERSITY ST, PEORIA, IL 61604-1318
(309) 686-3300
(309) 686-0316
Mailing address
3215 N UNIVERSITY ST, PEORIA, IL 61604-1318
(309) 686-3300
(309) 686-0316
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
IL
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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