| NPI | 1801556733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAJAN KURIAKOSE Chief Operating Officer 773-875-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2024-02-14 |