| NPI | 1295999340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J GUYMON Developmental Therapist 815-806-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 252Y00000X) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |