| NPI | 1417128737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY S. SULLIVAN Executive Director 815-477-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-04-20 |