| NPI | 1952790560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICE A HARRELL Executive Director 708-213-7991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 174H00000X Health Educator | |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| 225XR0403X Occupational Therapist Driving and Community Mobility | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |