NPI | 1841664943 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY S NEWTON CEO/President 217-398-0754 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: IL 199200181S) |
Enumeration Date | 2015-11-30 |
Last Update Date | 2015-11-30 |