| NPI | 1083010342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYME L CROOKS Executive Director 773-332-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 10-7278) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 10-7278) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |