NPI | 1235791112 |
---|---|
Entity Type | Organization |
Authorized Contact | LORELLE BEAUGARD Developmental Therapist 708-257-2781 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2019-07-01 |
Last Update Date | 2019-07-01 |