Organization
LOCAL WORX COMMUNITY SPACE
Active
Other names
A Bright Center Day Program - IL, A Bright Center Integrated Living - IL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAREON WOODARD (VICE PRESIDENT)
(331) 207-0188
Entity
Organization
Contact information
Practice address
22239 WILLOW TREE AVE, SAUK VILLAGE, IL 60411-5159
(331) 207-0188
Mailing address
9923 RIDGELAND AVE # 118, CHICAGO RIDGE, IL 60415-1262
(331) 207-0188
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/12/2024
Last updated
01/16/2024
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