NPI | 1073181442 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL PUETZ Managed Care Contracting Manager 847-306-3917 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
1041C0700X Social Worker Clinical | |
106E00000X Assistant Behavior Analyst | |
106H00000X Marriage & Family Therapist | |
106S00000X Behavior Technician | |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2021-06-14 |
Last Update Date | 2021-06-14 |