| NPI | 1588173397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN THOMAS CRABTREE Owner 773-793-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL BC71920812P) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |