NPI | 1053621391 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA MRAZ Owner 312-733-0883 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 056009137) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2010-10-20 |
Last Update Date | 2022-09-01 |