| NPI | 1386283737 |
|---|---|
| Doing Business As | NONE APPLICABLE |
| Entity Type | Organization |
| Authorized Contact | ABDIKHALIQ JIBRIL Owner/Manager 773-681-4276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |