| NPI | 1962399584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARIMA SPENCER Manager 708-567-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-08-20 |