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 |