NPI | 1154725455 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN LYNNE SHEEHAN Board Certified Behavior Analyst 708-837-3843 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 1-12-12059) |
Additional Taxonomies | 251S00000X (Licence: IL 1-12-12059) |
Enumeration Date | 2014-10-15 |
Last Update Date | 2014-10-15 |