| NPI | 1942480546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY FRAHER Speech Pathologist 773-782-3189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |