OrganizationActive
Avancer
NPI 1154450773 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Genoa, IL
Provider details
- NPI number
- 1154450773
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Desiree Henderson-Sawyer, Executive Director
- License
- 01C008 (IL)
Practice location
350 Sycamore Rd
Genoa, IL 60135-1361
Phone: (815) 784-5146
Fax: (815) 784-4673
Mailing address
350 Sycamore Rd
Genoa, IL 60135-1361
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.