NPI | 1346750270 |
---|---|
Entity Type | Organization |
Authorized Contact | AUTUMN STARKS Owner 708-689-9568 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.014692) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180.009523) |
Enumeration Date | 2017-10-05 |
Last Update Date | 2017-10-05 |