Organization
AUTISM HOME SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MCKEE (CEO)
(847) 564-0822
Entity
Organization
Contact information
Practice address
85 REVERE DR, NORTHBROOK, IL 60062-8001
(847) 564-0822
Mailing address
85 REVERE DR, NORTHBROOK, IL 60062-8001
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
0-14-5913
IL
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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