| 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 |