Central Illinois Autism Therapeutic Services, Nfp
NPI #1013147289 in Charleston, Illinois
Provider Information
- NPI Number
- 1013147289
- Entity Type
- Organization
- Organization Name
- Central Illinois Autism Therapeutic Services, Nfp
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jul 21, 2009
- Last Updated
- Jul 21, 2009
Practice Location
- Address
- 26 KICKAPOO VALLEY DR
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-8086
- Phone
- (217) 258-5790
Authorized Official
- Name
- VIVIAN FAYE SKELLEY
- Title
- PROGRAM DIRECTOR/SPECIALIST
- Phone
- (217) 821-1752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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