| NPI | 1639658537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL JONES CEO 815-592-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146.008817) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |