| NPI | 1609194083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE E BECKER Licensed Clinical Social Worker 847-924-7635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149003680) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-08-23 |