| NPI | 1710308580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE VALECEK Owner 815-212-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL MV60460511P) |
| Enumeration Date | 2013-12-21 |
| Last Update Date | 2013-12-21 |