OrganizationActive
Cubbull, Inc.
NPI 1649625377 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Canton, IL
Provider details
- NPI number
- 1649625377
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Susan Barnhart, President(309) 224-4093
- License
- 200900009S (IL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 200900009S (IL)
Residential Treatment Facilities
Practice location
121 W Elm St
Box 478
Canton, IL 61520-2513
Phone: (309) 224-4093
Approximate (ZIP-level) locationGet directions
Mailing address
121 W Elm St
Canton, IL 61520-2513
Registry dates
- Enumerated
- 2016-05-02
- Last updated
- 2016-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.