| NPI | 1023476322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIR JOFFREY Medical Director 847-278-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 036122339) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |