| NPI | 1174140800 |
|---|---|
| Former Legal Business Name | MD DEVELOPMENTAL AGENCY |
| Entity Type | Organization |
| Authorized Contact | DEBRA STEWART Co Owner 773-407-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2022-05-20 |