| NPI | 1710432968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD BARNES Executive Director 217-245-9898 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |