Organization
SPRINGFIELD ARC, INC.
Active
Other names
Springfield Association for Retarded Citizens
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLISSA PUCKETT (EXECUTIVE DIRECTOR)
(217) 793-2100
Entity
Organization
Contact information
Practice address
232 N BRUNS LN, SPRINGFIELD, IL 62702-4613
(217) 793-2100
(217) 793-2127
Mailing address
232 N BRUNS LN, SPRINGFIELD, IL 62702-4613
(217) 793-2100
(217) 793-2127
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
09/11/2025
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