NPI | 1013396043 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN M BERRY Clinical Therapist 630-530-1450 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011518) |
Enumeration Date | 2015-05-22 |
Last Update Date | 2015-05-22 |