NPI | 1003699067 |
---|---|
Former Legal Business Name | LEAPS & BOUNDS DEVELOPMENTALTHERAPY SERVICES LLC |
Entity Type | Organization |
Authorized Contact | DENISE MICHELLE MANGRUM Owner/Developmental Therapist 773-971-2230 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2023-08-15 |
Last Update Date | 2023-08-15 |