NPI | 1457656472 |
---|---|
Entity Type | Organization |
Authorized Contact | DELORIS DARLENE FISHER Director/Owner 630-424-9365 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149004311) |
Enumeration Date | 2011-01-23 |
Last Update Date | 2011-01-23 |