| NPI | 1447723275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA LOMAX Owner/Assistant Behavior Analyst 217-417-9413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |