Raw INC
NPI #1518192012 in South Holland, Illinois
Provider Information
- NPI Number
- 1518192012
- Entity Type
- Organization
- Organization Name
- Raw INC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- May 27, 2009
- Last Updated
- May 27, 2009
Practice Location
- Address
- 430 E 162ND ST STE 430
- City
- South Holland
- State
- Illinois
- ZIP Code
- 60473-2258
- Phone
- (708) 201-0058
Authorized Official
- Name
- ROLANDA SMITH
- Title
- PRESIDENT
- Phone
- (708) 201-0058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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