| NPI | 1093394124 |
|---|---|
| Former Legal Business Name | AUTISM CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHADEN S KASSAR Adminstor 630-631-9623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-06-24 |