NPI | 1215110051 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE ANNE ROSENTHAL Slp 773-301-5257 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146-006260) |
Enumeration Date | 2007-12-16 |
Last Update Date | 2007-12-16 |