| NPI | 1063868586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CAROL RODGERS Executive Director 708-762-0371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL R32622355959) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2021-02-09 |