Organization
ASSOCIATION FOR INDIVIDUAL DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCES L BAKER (PRESIDENT)
(630) 966-4001
Entity
Organization
Contact information
Practice address
504 E DIGGINS ST, HARVARD, IL 60033-2417
(847) 931-2340
(815) 344-2497
Mailing address
504 E DIGGINS ST, HARVARD, IL 60033-2417
(847) 931-2340
(815) 344-2497
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
03/06/2017
Last updated
03/14/2019
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