| NPI | 1467434795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RIDDLE President 309-686-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2024-02-26 |