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Organization
JUSCO'S SPECIAL ABILITIES RECREATION CENTER
Active
Organization
JUSCO'S SPECIAL ABILITIES RECREATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA SCOTT (EXECUTIVE DIRECTOR/CEO)
(708) 244-7159
Entity
Organization
Contact information
Practice address
22848 WESTWIND DR, RICHTON PARK, IL 60471-2552
(708) 244-7159
Mailing address
22848 WESTWIND DR, RICHTON PARK, IL 60471-2552
(708) 244-7159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
224ZE0001X
Environmental Modification Occupational Therapy Assistant
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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