| 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 |