NPI | 1093011579 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH MICHELLE MICHAEL President 847-486-4140 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2011-02-01 |
Last Update Date | 2011-02-01 |