NPI | 1407167059 |
---|---|
Doing Business As | ARIZA RESOURCE CENTER, INC. |
Entity Type | Organization |
Authorized Contact | KELLINE EVANS MATHEWS Licensed Clinncal Psychologist 630-539-2620 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071005973) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 071005973) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL 071005973) | |
103TC0700X Psychologist, Clinical (Licence: IL 071005973) | |
Enumeration Date | 2010-06-29 |
Last Update Date | 2010-07-13 |