Organization
AUTISM HOME SUPPORT
Active
Other names
AHSS
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA GONZALEZ (BCBBA)
(773) 983-0001
Entity
Organization
Contact information
Practice address
8533 S PAULINA ST, CHICAGO, IL 60620-4747
(773) 677-8950
Mailing address
8533 S PAULINA ST, CHICAGO, IL 60620-4747
(773) 677-8950
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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