| NPI | 1972869550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA BOOZELL President/ Slp 815-505-4463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146.005242) |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2012-04-08 |