| NPI | 1578017927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE WALKER Chief Executive Officer 217-306-5834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2016-08-26 |