| NPI | 1548576382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRIN REIMER Speech Language Pathologist 217-412-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146010364) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |