NPI | 1942480546 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY FRAHER Speech Pathologist 773-782-3189 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146005843) |
Enumeration Date | 2007-11-12 |
Last Update Date | 2007-11-12 |