Organization
HUMAN SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE RILEY LCSW (EXECUTIVE DIRECTOR)
(618) 939-4444
Entity
Organization
Contact information
Practice address
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298-1000
(618) 939-4444
(618) 939-4181
Mailing address
988 N ILLINOIS ROUTE 3, PO BOX 146, WATERLOO, IL 62298-1000
(618) 939-4444
(618) 939-4181
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
05/25/2023
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