| NPI | 1972345379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA BOYCE President 708-420-8466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |