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Charleston Transitional Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Champaign, Illinois
NPI 1679667737

Charleston Transitional Facility is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Champaign, IL. Charleston Transitional Facility practices in Champaign, IL. The NPI Number for Charleston Transitional Facility is 1679667737 and holds a License No. (Illinois).

The current practice location address for Charleston Transitional Facility is 1902 Fox Dr., Champaign, IL and can be reached out via phone at 217-352-7158 and via fax at 217-252-7166.

Location: 1902 Fox Dr., Champaign, IL, 61820-7158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679667737
Provider Name
Charleston Transitional Facility
Credential
Provider Entity Type
Organization
Address
1902 Fox Dr., Champaign, IL, 61820-7158
Phone Number
217-352-7158
Fax Number
217-252-7166
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1902 Fox Dr.
City
Champaign
State
Illinois
Zip
61820-7158
Phone Number
217-352-7158
Fax Number
217-252-7166
person
Provider Business Mailing Address Details
Address
1902 Fox Dr.
City
Champaign
State
Illinois
Zip
61820-7158
Phone Number
217-352-7158
Fax Number
217-252-7166
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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