Organization
RAY GRAHAM ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ZOELLER (PRESIDENT AND CEO)
(630) 628-7255
Entity
Organization
Contact information
Practice address
901 WARRENVILLE RD, SUITE 500, LISLE, IL 60532-4301
(630) 620-2222
(630) 628-1488
Mailing address
901 WARRENVILLE RD, SUITE 500, LISLE, IL 60532-4301
(630) 620-2222
(630) 628-1488
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
199100030C
IL
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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