| NPI | 1942419536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BENJAMIN Developmental Therapist 773-633-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL CB25540207P) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |