| NPI | 1699192799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE LYNNE KLEIST Therapist 708-372-9684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: IL 178006427) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |