NPI | 1154548022 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY ROBERT FELDMAN Owner 847-593-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149000555) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2023-02-01 |