NPI | 1225492846 |
---|---|
Entity Type | Organization |
Authorized Contact | GINNY GRIFFIN NIKIFOROS Lcsw, Bcba 773-726-4832 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015268) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-14-17879) |
Enumeration Date | 2016-04-09 |
Last Update Date | 2022-08-02 |