| NPI | 1558818930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY COLE Bahavioral Health Technician 773-595-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 103K00000X) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |