| NPI | 1053902684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL PUETZ Care Contracting & Relations Mgr 847-306-3917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 104100000X Social Worker |
| 106S00000X Behavior Technician | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-06-01 |