| NPI | 1750122198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LEWIS Owner 708-632-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 171R00000X Interpreter | |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-07-06 |