| NPI | 1427338821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W MANOCK President 708-941-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2016-01-04 |