| NPI | 1528399425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVELL FLOYD Executive Director 708-645-6489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2010-01-18 |