| NPI | 1821215062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU ELLEN STRONG Executive Director 815-432-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |