| NPI | 1083254874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSIA BELK Owner 773-750-5916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-10-23 |