| NPI | 1770940603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MICHELLE HAMILTON Owner/Occupational Therapist 217-305-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |