| NPI | 1225064488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON NEWMAN Owner 224-354-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2023-12-27 |