| NPI | 1720432552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE MAYHALL GEHRENBECK President 773-450-3162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 060011681) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |