| NPI | 1245049220 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JAYVA PERRIN Owner 708-965-2268 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency | 
| Additional Taxonomies | 222Q00000X Developmental Therapist | 
| Enumeration Date | 2025-01-03 | 
| Last Update Date | 2025-02-07 |