| NPI | 1598189508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HERR Owner 312-388-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL JH07000505P) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: IL JH07000505P) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL JH07000505P) | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |