NPI | 1669790549 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE MAXWELL-SOFIYEA President 773-510-7431 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL VM736105001) |
Enumeration Date | 2010-05-17 |
Last Update Date | 2010-05-17 |