| NPI | 1962716365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M CROSS Developmental Therapist 630-886-8375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL TC92450503P) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |