| NPI | 1669637344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY MARIE ISROW Developmental Therapist/President 815-276-7786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |