| NPI | 1740673599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKILIA MCCAIN President 219-805-4947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: IL 146006026) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: IL 146006026) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |