Provider Demographics
NPI:1063630275
Name:CWEEDU, INC.
Entity Type:Organization
Organization Name:CWEEDU, INC.
Other - Org Name:QUALITY LIVING
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:DEVORE
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MA
Authorized Official - Phone:815-273-3142
Mailing Address - Street 1:10742 LOOP ROAD
Mailing Address - Street 2:
Mailing Address - City:SAVANNA
Mailing Address - State:IL
Mailing Address - Zip Code:61074-2905
Mailing Address - Country:US
Mailing Address - Phone:815-273-3142
Mailing Address - Fax:815-273-3142
Practice Address - Street 1:38 ORCHARD STREET
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28728
Practice Address - Country:US
Practice Address - Phone:828-273-7303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty