NPI | 1053776799 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ALLEN WEBSTER System Support Analyst 708-907-1583 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
253J00000X Foster Care Agency (Licence: IL 012998-11) | |
Enumeration Date | 2015-12-23 |
Last Update Date | 2022-11-11 |