Organization
ILLINOIS VALLEY AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY BENNETT (DIRECTOR)
(815) 200-6751
Entity
Organization
Contact information
Practice address
4401 PROGRESS BLVD, PERU, IL 61354-1109
(815) 200-6751
Mailing address
4401 PROGRESS BLVD, PERU, IL 61354-1109
(815) 200-6751
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
08/10/2012
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