| NPI | 1841606811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY GORBOLD Corporate Office Manager 312-882-1024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-01-27 |