| NPI | 1447521414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE MITCHEM Developmental Therapist 773-853-9832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |