NPI | 1538331285 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN E GRIMALDI President/Owner 815-210-9311 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146006818) |
Enumeration Date | 2008-04-01 |
Last Update Date | 2008-04-01 |