NPI 1023369915

Community Support Systems Cfc 20

Organisation Early Intervention Provider Agency Effingham, IL

Practice location

Address: 1901 S 4th St STE 209, Effingham, IL 62401-4162
Phone: (217) 705-4300
Fax: (217) 347-5437

Authorised official

Name: Rita D Wahl
Title: Program Manager
Phone: (217) 705-4300

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Illinois →

Registry record

NPI: 1023369915
Entity type: Organization
NPI issued: 2 Oct 2012
Record last updated: 21 Oct 2016

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.