NPI | 1538561261 |
---|---|
Entity Type | Organization |
Authorized Contact | ELAINE GORDON Owner 312-543-6436 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014232) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 27656) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2022-02-21 |