Childrens Mansion Corp

NPI #1073766192 in South Holland, Illinois

Provider Information

NPI Number
1073766192
Entity Type
Organization
Organization Name
Childrens Mansion Corp
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Nov 3, 2008
Last Updated
Nov 3, 2008

Practice Location

Address
430 E 162ND ST STE 430
ZIP Code
60473-2258
Phone
(800) 430-8150

Authorized Official

Name
ROLANDA MONTEZ SMITH
Title
PRESIDENT
Phone
(800) 430-8150

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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