NPI | 1255705893 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA LYN MALLARD Developmental Therapist 815-671-7092 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2015-11-19 |
Last Update Date | 2015-11-19 |