NPI | 1639821929 |
---|---|
Doing Business As | RISE UP FOR AUTISM |
Entity Type | Organization |
Authorized Contact | KELLY FINNEGAN Business Administrator 815-272-6478 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 251S00000X |
261Q00000X Clinic/Center | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2022-01-19 |
Last Update Date | 2022-09-22 |