Organization Name: | LITTLE LAMBS DEVELOPMENTAL THERAPY, INC. |
NPI Number: | 1851440622 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA MARIE PITTS (PRESIDENT) |
Mailing Address: | 3009 Summerwood Dr Springfield |
State: | IL US |
Postal Code: | 627125862 |
Phone Number: | 2176227725 |
Fax Number: | 2175291618 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
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NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |