NPI 1013147289
Central Illinois Autism Therapeutic Services, Nfp
Practice location
- Address
- 26 Kickapoo Valley Dr, Charleston, IL 61920-8086
- Phone
- (217) 258-5790
- Fax
- (217) 345-0910
- Mailing address
- PO Box 767, Mattoon, IL 61938-0767
Authorised official
- Name
- Vivian Faye Skelley
- Title
- Program Director/Specialist
- Phone
- (217) 821-1752
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1013147289
- Entity type
- Organization
- NPI issued
- 21 Jul 2009
- Record last updated
- 21 Jul 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.