NPI | 1992187504 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN JEAN BONINE Director/ Therapist 630-408-5845 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL EM82450304P) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2015-06-19 |