Organization
BRIGHT MINDS EDUCATIONAL PROGRAM INC
Active
Other names
Central Illinois Autism Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN FAYE SKELLEY DEVELOPMENTAL THERAP (EXECUTIVE DIRECTOR)
(217) 821-1752
Entity
Organization
Contact information
Practice address
7704 DEERPATH ROAD, CHARLESTON, IL 61920
(217) 508-7171
(217) 345-0910
Mailing address
7704 DEERPATH ROAD, CHARLESTON, IL 61920
(217) 508-7171
(217) 345-0910
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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