| NPI | 1952672354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORELL MARIN Cvo/Owner 312-624-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 235Z00000X Speech-Language Pathologist, | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2026-03-17 |