Central Illinois Autism Therapeutic Services, NFP

Organization Active NPI Early Intervention Provider Agency · Charleston, IL

NPI 1013147289 · NPPES record last updated Jul 21, 2009

Key facts

NPI
1013147289
Entity type
Organization (NPI type 2)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Legal business name
CENTRAL ILLINOIS AUTISM THERAPEUTIC SERVICES, NFP
Practice address
26 Kickapoo Valley Dr
Charleston, IL 61920-8086
Phone
(217) 258-5790
Fax
(217) 345-0910
NPI assigned
Jul 21, 2009
Organization subpart
No

Authorized official

Name
Vivian Faye Skelley
Title
Program Director/Specialist
Phone
(217) 821-1752

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

26 Kickapoo Valley Dr
Charleston, IL 61920-8086

Mailing address

PO Box 767
Mattoon, IL 61938-0767
Phone (217) 258-5790

Other names

  • CIATS Other name

Other providers in Charleston, IL

All providers in Charleston, IL · Early Intervention Provider Agency in Illinois

Sources for this page

Verify at the official NPI Registry.