OrganizationActive
Community Regional Services Inc.
NPI 1619549151 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lansing, IL
Provider details
- NPI number
- 1619549151
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Bolanle Adeoye, Executive Director(773) 615-7648
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
18765 Forest View Ln
Lansing, IL 60438-4513
Phone: (708) 673-7564
Approximate (ZIP-level) locationGet directions
Mailing address
18765 Forest View Ln
Lansing, IL 60438-4513
Registry dates
- Enumerated
- 2021-07-14
- Last updated
- 2021-07-14
- Certified
- 2021-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.