Organization
ASSOCIAITON FOR INDIVIDUAL DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES L. BAKER (PRESIDENT)
(630) 966-4001
Entity
Organization
Contact information
Practice address
1230 PEARL ST, AURORA, IL 60505-4519
(630) 450-2315
(630) 236-1488
Mailing address
309 NEW INDIAN TRAIL COURT, AURORA, IL 60506-2492
(630) 966-4000
(630) 944-2065
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04008
—
IL
Enumeration date
10/21/2008
Last updated
03/14/2019
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