Organization
SPRINGFIELD DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHI CLARK (DIRECTOR)
(217) 525-8271
Entity
Organization
Contact information
Practice address
4595 LAVERNA RD, SPRINGFIELD, IL 62707-9732
(217) 525-8271
(217) 525-5801
Mailing address
4595 LAVERNA RD, SPRINGFIELD, IL 62707-9732
(217) 525-8271
(217) 525-5801
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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