NPI | 1013627850 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY TRUSKY COO 847-436-3265 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2022-12-02 |
Last Update Date | 2022-12-02 |