NPI | 1245983394 |
---|---|
Doing Business As | BLUE BIRD THERAPY |
Entity Type | Organization |
Authorized Contact | LESLIE DUFF Therapist 847-845-5698 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2022-01-29 |
Last Update Date | 2022-01-29 |