NPI | 1851558894 |
---|---|
Entity Type | Organization |
Authorized Contact | DEANNA LYNN GILL President 815-715-8351 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146.006752) |
Enumeration Date | 2008-05-19 |
Last Update Date | 2010-12-28 |