| NPI | 1811763550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MILLER Occupational Therapist 630-296-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist Mental Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-06 |