| NPI | 1730312349 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH EDOHEN Director 708-439-0284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-08-30 |
| Last Update Date | 2009-08-30 |