| NPI | 1093573065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY DYSON President 815-222-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-06-06 |