| NPI | 1568662740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISHON R. PARKER Director/Developmental Therapist 866-450-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL CW71491203P) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2011-04-04 |