NPI | 1316397979 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCAS BYRON SWENINK Owner 773-876-8763 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015898) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.015780) |
Enumeration Date | 2016-06-14 |
Last Update Date | 2018-11-07 |