| NPI | 1073028924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERINNE SNYDER Developmental Therapist 309-989-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL eh90471113p) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |