| NPI | 1275170185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIYA OLSON Owner 630-699-7625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103K00000X Behavior Analyst | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics | |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |