NPI | 1205207461 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN TERPSTRA Executive Director 630-418-8377 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
Additional Taxonomies | 251V00000X Voluntary or Charitable |
Enumeration Date | 2015-10-14 |
Last Update Date | 2015-10-14 |