| NPI | 1568841534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN COX Business Manager 630-828-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker Clinical | |
| 1041S0200X Social Worker School | |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2015-05-24 |
| Last Update Date | 2015-05-28 |