| NPI | 1891041703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL C DAVIDSON President 815-351-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146.007201) |
| Enumeration Date | 2012-07-29 |
| Last Update Date | 2012-07-29 |