| NPI | 1174210272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYANNA MAE MORAGA CEO 708-979-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-01-25 |