Organization
MOTIVATING INDIVIDUALS FOR LEARNING AND LIVING
Active
Other names
The Mill
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L SPRUYT (PRESIDENT/CEO)
(815) 282-7741
Entity
Organization
Contact information
Practice address
3445 ELMWOOD RD, ROCKFORD, IL 61101-9529
(815) 282-7741
(815) 636-5041
Mailing address
3445 ELMWOOD RD, ROCKFORD, IL 61101-9529
(815) 282-7741
(815) 636-5041
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
401288-04
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2B05-CHR-042
—
IL
Enumeration date
05/05/2006
Last updated
08/22/2020
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