| NPI | 1720424773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA PIKE Owner 708-363-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 02679221) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |